Trial reportBMJ (Clinical research ed.)2001
Randomised controlled trial of an interactive multimedia decision aid on benign prostatic hypertrophy in primary care.
Trial report in BMJ (Clinical research ed.), 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03181724 (A Randomized Trial Measuring the Effect of Review of a Decision Aid Prior to the Appointment on Decisional Conflict Compared to Usual Care in the Treatment of Trapeziometacarpal), which is not on this map. Cited by 68 papers, 13 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Randomized Trial Measuring the Effect of Review of a Decision Aid Prior to the Appointment on Decisional Conflict Compared to Usual Care in the Treatment of Trapeziometacarpal (TMC) Arthritis
Who cites it
68 citing papers in PubMed, 13 syntheses or guidelines pooled it.
- Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Pooled it
- Pooled it
- Interventions for increasing the use of shared decision making by healthcare professionals.The Cochrane database of systematic reviews · 2018Pooled it
- Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Patients' online access to their electronic health records and linked online services: a systematic review in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Pooled it
- Strategies for reducing regional variation in the use of surgery: a systematic review.Annals of surgery · 2014Pooled it
- Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review.BMJ (Clinical research ed.) · 2014Pooled it
- Patients' perceptions of sharing in decisions: a systematic review of interventions to enhance shared decision making in routine clinical practice.The patient · 2012Pooled it
- A systematic review of information in decision aids.Health expectations : an international journal of public participation in health care and health policy · 2007Pooled it
- Interventions for improving older patients' involvement in primary care episodes.The Cochrane database of systematic reviews · 2007Pooled it
- Does Patient Preference Measurement in Decision Aids Improve Decisional Conflict? A Randomized Trial in Men with Prostate Cancer.The patient · 2017Trial
- Cost effectiveness of a web-based decision aid for parents deciding about MMR vaccination: a three-arm cluster randomised controlled trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Trial
- Informing men about prostate cancer screening: a randomized controlled trial of patient education materials.Journal of general internal medicine · 2008Trial
- Influence of decision aids on patient preferences for anticoagulant therapy: a randomized trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2007Trial
- Evaluation of a decision aid for women with breech presentation at term: a randomised controlled trial [ISRCTN14570598].BJOG : an international journal of obstetrics and gynaecology · 2007Trial
- Impact of a patient decision aid on care among patients with nonvalvular atrial fibrillation: a cluster randomized trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005Trial
- A randomized trial among women with heavy menstruation -- impact of a decision aid on treatment outcomes and costs.Health expectations : an international journal of public participation in health care and health policy · 2004Trial
8 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine whether a decision aid on benign prostatic hypertrophy influences decision making, health outcomes, and resource use.
designRandomised controlled trial.
setting33 general practices in the United Kingdom.
participants112 men with benign prostatic hypertrophy.
interventionPatients' decision aid consisting of an interactive multimedia programme with booklet and printed summary. OUTCOME MEASURES: Patients' and general practitioners' perceptions of who made the decision, decisional conflict scores, treatment choice and prostatectomy rate, American Urological Association symptom scale, costs, anxiety, utility, and general health status.
resultsBoth patients and general practitioners found the decision aid acceptable. A higher proportion of patients (32% v 4%; mean difference 28%, 95% confidence interval 14% to 41%) and their general practitioners (46% v 25%; 21%, 3% to 40%) perceived that treatment decisions had been made mainly or only by patients in the intervention group compared with the control group. Patients in the intervention group had significantly lower decisional conflict scores than those in the control group at three months (2.3 v 2.6; -0.3, -0.5 to -0.1, P<0.01) and this was maintained at nine months. No differences were found between the groups for anxiety, general health status, prostatic symptoms, utility, or costs (excluding costs associated with the video disc equipment).
conclusionsThe decision aid reduced decisional conflict in men with benign prostatic hypertrophy, and the patients played a more active part in decision making. Such programmes could be delivered cheaply by the internet, and there are good arguments for coordinated investment in them, particularly for conditions in which patient utilities are important.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.